Exploring Knee Surgeons' Perspectives on 3D Printing

6 pages•Published: December 17, 2024

Mathieu Le Stum, Thomas Bertin, Myriam Le Goff Pronost, Guillaume Dardenne, Ghislaine Rolland Lozachmeur and Eric Stindel

Abstract

Three-dimensional printing technology has been developed and applied in orthopedic surgery, including knee arthroplasty. To match individual knee morphology, surgeons can choose between standardized implants or customized 3D-printed ones. Despite technical advancements, the routine adoption of 3D-printed implants faces slow progress and various barriers. Our study explores surgeons' perspectives on 3D-printed prostheses by inviting them to freely express their thoughts by answering the question “What do you think about the manufacture of a prosthesis by 3D printing?
The questionnaire was completed by 90 surgeons, with an average experience exceeding 10 years (57.8% ± 10.2%). The majority worked in public hospitals (60% ± 10.1%) and performed zero to 100 prostheses annually (66.7% ± 9.7%). A large proportion do not use planning software (52.2% ± 9.7%), navigation systems, or robots (68.9% ± 9.6%). Respondents collectively agreed on the additional surgical time necessitated by technological innovation (74.4% ± 9.0%). Opinions on 3D printing were diverse, with 70%± 9.5% expressing positivity and 30%± 9.5% holding negative views. Motivations were categorized into seven domains, centered around "pre-surgery" and "post-surgery" concerns. Notably, results showed that a favorable disposition towards 3D printing was associated with the use of navigation systems or robots.
In conclusion, while no outright opposition to implementation was found, some surgeons expressed a preference for validated results and raised concerns about the entire supply chain, encompassing hospitals, insurance companies, and manufacturers. Despite the absence of opposition, the full adoption of 3D printing in joint replacement hinges on advancements across various areas of joint surgery.

Keyphrases: 3d printed implant, discourse analysis, knee, orthopedic, surgeon s point of view

In: Joshua W Giles and Aziliz Guezou-Philippe (editors). Proceedings of The 24th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery, vol 7, pages 117-122.

Links:	https://easychair.org/publications/paper/72wn
	https://doi.org/10.29007/c88n

BibTeX entry

@inproceedings{CAOS2024:Exploring_Knee_Surgeons_Perspectives,
  author    = {Mathieu Le Stum and Thomas Bertin and Myriam Le Goff Pronost and Guillaume Dardenne and Ghislaine Rolland Lozachmeur and Eric Stindel},
  title     = {Exploring Knee Surgeons' Perspectives on 3D Printing},
  booktitle = {Proceedings of The 24th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery},
  editor    = {Joshua W Giles and Aziliz Guezou-Philippe},
  series    = {EPiC Series in Health Sciences},
  volume    = {7},
  publisher = {EasyChair},
  bibsource = {EasyChair, https://easychair.org},
  issn      = {2398-5305},
  url       = {/publications/paper/72wn},
  doi       = {10.29007/c88n},
  pages     = {117-122},
  year      = {2024}}

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